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Asthma and COPD
Pharmacology
35
Medical
Professional
11/07/2011

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Cards

Term
How do beta ags treat asthma
Definition
Gs-AC-cAMP-reduces myosin light chain phosphorylation-hyperpolarize smooth muscles
Term
Short acting beta 2 ags
Definition
albuterol, levalbuterol, terbutaline, and pirbuterol
Term
What are SABAs used for?
Definition
prophylaxis of exercise induced asthma
COPD
Term
This is given subcu when a severe asthma attack limits admin of aerosols
Definition
terbutaline
Term
LABA
Definition
salmeterol

NO anti-inflammatory action
Term
What is the SNP in beta 2 receptor
Definition
Gly 16 instead of Arg 16
Term
when should ipratropium and tiotropium be used
Definition
COPD, where constriction is due to vagal tone instead of asthma
Term
What type of receptors to anticholinergics target?
Definition
M3 muscarinic receptors
Term
Which has fewer side effects, atropine or Ipra and tio
Definition
Ipra and Tio (aerosol form)
Term
What is it exactly that anticholi's inhibit
Definition
Ach-induced bronchoconstriction
Term
What are anticholi's ineffective at
Definition
reducing airway mucus secretion
Term
toxicity of anticholin's
Definition
blurred vision
eye pain
difficulty urinating
Term
This asthma drug inhibits phosphodiesterase causing decrease in T cells and eosinophils
Definition
Methylxanthines
Term
Examples of methylxanthines
Definition
theophylline and caffeine
Term
When should theophylline be used
Definition
to add quality of life either in asthma or COPD
Term
What effects do methylxanthines play on the diaphragm?
Definition
reduce fatigue (more in COPD)
Term
How do corticosteroids decrease asthma
Definition
decrease inflammatory protein transcription

inhibit IL-4 and 5

reducing IgE production by B cells and eosinophils

induce apoptosis of eosinophils and Th2 lymphocytes
Term
These two corticosteroids are NOT subjected to first pass metabolism in the liver
Definition
beclomethasone and triamcinolone
Term
steroid drugs for asthma
Definition
Beclomethasone
fluticasone
Term
toxicity of steroid
Definition
voice change
cadidisasis (Beclomethasone)
impaired glucose control in diabetes
Term
These drugs stabilize mast cell responses
Definition
Cromolyn and nedocromil
Term
cromolyn and nedocromil are administered to do
Definition
reduce acute exercise induced asthma

reduce chronic inflammation
Term
When are mast cell stabilizers effective?
Definition
when steroid use in contraindicated

reducing symptoms of allergic rhinoconjuctivitis
Term
what does zileution inhibit
Definition
5-lipoxygenase, blocking arachidonic acid into leukotriene A4
Term
These are CysLT1 antags
Definition
Montelukast

Zafirlukast
Term
This leuko inhib is used once a day
Definition
Zafirlukast
Term
What are leuko inhibs used as an alternative for?
Definition
low dose inhaled steroids for control of mild chronic asthma
Term
Montelukast and zafirlukast have been associated with what disease
Definition
Severe granulomatous vasculitis aka Churg-Strauss syndrome
Term
toxic effect os zafirlukast
Definition
headaches
Term
toxic effect of zileuton
Definition
increased liver transaminase levels
Term
what is the function of Omalizumab
Definition
reduces circulating IgE
Term
when is Omali most effective
Definition
high corticosteroid requirement, and frequent exacerbations.

Treats severe asthma
Term
toxicity of albuterol
Definition
tremors
Term
What do LABAs have to be used in conjunction with?
Definition
corticosteroids
Term
Toxicities of Anticholinergics
Definition
glaucoma, dry mouth
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